De-Identification Profile
0.0.1-current - ci-build
De-Identification Profile
0.0.1-current - ci-build
De-Identification Profile, published by IHE IT Infrastructure Technical Committee. This guide is not an authorized publication; it is the continuous build for version 0.0.1-current built by the FHIR (HL7® FHIR® Standard) CI Build. This version is based on the current content of https://github.com/IHE/ITI.DeIdHandbook/ and changes regularly. See the Directory of published versions
Document Details
Profile: Death Certificate Document
Final Document at 2024-07-01 00:00:00+0000 by Practitioner Jim Black (official) for PseudoFamily(anonymous) Female, DoB: 1996-05-01 ( Social Beneficiary Identifier: United States Social Security Number#123456789)
Document Subject
Profiles: Decedent, Patient - Vital Records, Patient
PseudoFamily(anonymous) Female, DoB: 1996-05-01 ( Social Beneficiary Identifier: United States Social Security Number#123456789)
| Marital Status: | Never Married | ||
| Contact Detail |
| ||
| Unknown: |
| ||
| Links: |
| ||
| NVSS SexAtDeath | Female | ||
| Spouse Is Alive | Yes | ||
| Patient Birth Place | Roanoke VA US | ||
Document Content
Entry 2 - fullUrl = http://example.org/Patient/ex-Decedent-pandemicIPS-VRDR-stage-1
Resource Patient:
Profiles: Decedent, Patient - Vital Records, Patient
PseudoFamily(anonymous) Female, DoB: 1996-05-01 ( Social Beneficiary Identifier: United States Social Security Number#123456789)
Marital Status: Never Married Contact Detail
- ph: 07 850 9900(Mobile)
- Grenzstraße Oberhausen 46045 GM (home)
Unknown:
- Joe Smith
Links:
- General Practitioner: Yaser, Joseph
NVSS SexAtDeath Female Spouse Is Alive Yes Patient Birth Place Roanoke VA US
Entry 3 - fullUrl = http://example.org/Practitioner/ex-Practitioner-pandemicIPS-VRDR-stage-1
Resource Practitioner:
Profile: Practitioner (IPS)
name: Joseph Yaser
Entry 4 - fullUrl = http://example.org/RelatedPerson/ex-DecedentFather-pandemicIPS-VRDR-stage-1
Resource RelatedPerson:
Profile: Decedent Father
active: true
relationship: father
name: Pseudo Dad(Anonymous)
Entry 5 - fullUrl = http://example.org/RelatedPerson/ex-DecedentMother-pandemicIPS-VRDR-stage-1
Resource RelatedPerson:
Profile: Decedent Mother
active: true
relationship: mother
name: Pseudo Mom(Anonymous)
Entry 6 - fullUrl = http://example.org/RelatedPerson/ex-DecedentSpouse-pandemicIPS-VRDR-stage-1
Resource RelatedPerson:
Profile: Decedent Spouse
active: true
relationship: spouse
name: Pseudo Spouse(Anonymous)
Entry 7 - fullUrl = http://example.org/Observation/ex-DecedentAge-pandemicIPS-VRDR-stage-1
Resource Observation:
Profile: Decedent Age
status: Final
code: Age at death
effective: 2024-06-30 16:39:40-0500
performer: Practitioner Jane Purple (official)
value: 29 years (Details: UCUM codea = 'a')
Entry 8 - fullUrl = http://example.org/Observation/ex-DecedentUsualWork-pandemicIPS-VRDR-stage-1
Resource Observation:
Profile: Decedent Usual Work
status: Final
code: History of Usual occupation
effective: 2024-06-30 16:39:40-0500
performer: Practitioner Jane Purple (official)
value: Health Care Assistants
Components
Code Value[x] History of Usual industry Residential nursing care facilities
Entry 9 - fullUrl = http://example.org/Observation/ex-DecedentPregStat-pandemicIPS-VRDR-stage-1
Resource Observation:
Profile: Decedent Pregnancy
status: Final
code: Timing of recent pregnancy in relation to death
effective: 2024-06-30 16:39:40-0500
performer: Practitioner Jane Purple (official)
value: Pregnant at time of death
Entry 10 - fullUrl = http://example.org/Observation/ex-DeathDate-pandemicIPS-VRDR-stage-1
Resource Observation:
Profile: Death Date
status: Final
code: Date and time of death [TimeStamp]
effective: 2024-06-30 16:39:40-0500
performer: Practitioner Jane Purple (official)
value:
Partial Date Time Vital Records:component
code: Date and time pronounced dead [US Standard Certificate of Death]
value: 2024-06-30 16:39:40-0500
component
code: Location of death
value: Other
Entry 11 - fullUrl = http://example.org/Practitioner/ex-Practitioner2-pandemicIPS-VRDR-stage-1
Resource Practitioner:
Profile: US Core Practitioner Profile
identifier: United States National Provider Identifier/9941339101
name: Jane Purple (Official)
address: 44 South Street Rockville MD 20854 US
Entry 12 - fullUrl = http://example.org/Observation/ex-MannerOfDeath-pandemicIPS-VRDR-stage-1
Resource Observation:
Profile: Manner of Death
status: Final
code: Manner of death
effective: 2024-06-30 16:39:40-0500
performer: Practitioner Jim Black (official)
value: Natural death
Entry 13 - fullUrl = http://example.org/Practitioner/ex-Certifier-pandemicIPS-VRDR-stage-1
Resource Practitioner:
Profile: Death Certifier
Practitioner Role: Certifier
identifier: United States National Provider Identifier/9941339100
name: Jim Black (Official)
address: 44 South Street Bird in Hand PA 17505 US
Entry 14 - fullUrl = http://example.org/Procedure/ex-DeathCertification-pandemicIPS-VRDR-stage-1
Resource Procedure:
Profile: Death Certification Procedure
identifier: 180
status: Completed
code: Death certification
Performers
Function Actor Nurse Practitioner Practitioner Jim Black (official)
Entry 15 - fullUrl = http://example.org/Observation/ex-CauseOfDeathPart1-pandemicIPS-VRDR-stage-1
Resource Observation:
Profile: Cause Of Death Part 1
status: Final
code: Cause of death [US Standard Certificate of Death]
effective: 2024-06-30 16:39:40-0500
performer: Practitioner Jim Black (official)
value: Covid-19
component
code: line number
value: 1
component
code: Disease onset to death interval
value: 4 hours
Entry 16 - fullUrl = http://example.org/Observation/ex-CauseOfDeathPart1-ex2-pandemicIPS-VRDR-stage-1
Resource Observation:
Profile: Cause Of Death Part 1
status: Final
code: Cause of death [US Standard Certificate of Death]
effective: 2024-06-30 16:39:40-0500
performer: Practitioner Jim Black (official)
value: Eclampsia
component
code: line number
value: 2
component
code: Disease onset to death interval
value: 3 months
Entry 17 - fullUrl = http://example.org/Observation/ex-CauseOfDeathPart2-pandemicIPS-VRDR-stage-1
Resource Observation:
Profile: Cause of Death Part 2
status: Final
code: Other significant causes or conditions of death
effective: 2024-06-30 16:39:40-0500
performer: Practitioner Jim Black (official)
value: hypertensive heart disease
Entry 18 - fullUrl = http://example.org/Location/ex-DispLocation-pandemicIPS-VRDR-stage-1
Resource Location:
Profile: Disposition Location
name: Rosewood Cemetary
type: Disposition Location
address: 303 Rosewood Ave Danville VA 24541 US
Entry 19 - fullUrl = http://example.org/Observation/ex-RecordAxisCauseOfDeath-pandemicIPS-VRDR-stage-1
Resource Observation:
Profile: Record Axis Cause Of Death
status: Final
code: Cause of death record axis code [Automated]
effective: 2024-06-30 16:39:40-0500
performer: Practitioner Jane Purple (official)
value: COVID-19, virus identified
Components
Code Value[x] position 1
Entry 20 - fullUrl = http://example.org/Observation/ex-EntityAxisCauseOfDeath-pandemicIPS-VRDR-stage-1
Resource Observation:
Profile: Entity Axis Cause Of Death
status: Final
code: Cause of death entity axis code [Automated]
effective: 2024-06-30 16:39:40-0500
performer: Practitioner Jane Purple (official)
value: COVID-19, virus identified
component
code: line number
value: 1
component
code: position
value: 1
Entry 21 - fullUrl = http://example.org/Practitioner/ex-Mortician-pandemicIPS-VRDR-stage-1
Resource Practitioner:
Profile: Mortician
Practitioner Role: Mortician
identifier: United States National Provider Identifier/212222AB
name: Ronald Q Smith(Official)
Entry 22 - fullUrl = http://example.org/Observation/ex-ActivityAtTimeOfDeath-pandemicIPS-VRDR-stage-1
Resource Observation:
Profile: Activity at Time of Death
status: Final
code: Activity at time of death [CDC]
effective: 2024-06-30 16:39:40-0500
performer: Practitioner Jane Purple (official)
value: While engaged in leisure activities.
Entry 23 - fullUrl = http://example.org/Observation/ex-CodedRaceAndEthnicity-pandemicIPS-VRDR-stage-1
Resource Observation:
status: Final
code: Coded Race and Ethnicity
effective: 2024-06-30 16:39:40-0500
performer: Practitioner Jane Purple (official)
component
code: First Edited Race Code
value: White
component
code: Second Edited Race Code
value: Israeli
component
code: First Edited American Indian Race Code
value: Arikara
component
code: Race Recode 40
value: AIAN and Asian
component
code: Hispanic Code
value: Chilean
Entry 24 - fullUrl = http://example.org/Observation/ex-ManualUnderlyingCauseOfDeath-pandemicIPS-VRDR-stage-1
Resource Observation:
Profile: Manual Underlying Cause Of Death
status: Final
code: Cause of death.underlying [Manual]
effective: 2024-06-30 16:39:40-0500
performer: Practitioner Jane Purple (official)
value: Acute respiratory failure
Entry 25 - fullUrl = http://example.org/Observation/ex-AutomatedUnderlyingCauseOfDeath-pandemicIPS-VRDR-stage-1
Resource Observation:
Profile: Automated Underlying Cause Of Death
status: Final
code: Cause of death.underlying [Automated]
effective: 2024-06-30 16:39:40-0500
performer: Practitioner Jane Purple (official)
value: Acute respiratory failure
Entry 26 - fullUrl = http://example.org/Organization/ex-FuneralHome-pandemicIPS-VRDR-stage-1
Resource Organization:
Profile: Funeral Home
active: true
type: Funeral Home
name: Lancaster Funeral Home and Crematory
Contacts
Address 211 High Street Lancaster PA 17573 US
Entry 27 - fullUrl = http://example.org/Observation/ex-DecedentDispositionMethod-pandemicIPS-VRDR-stage-1
Resource Observation:
Profile: Decedent Disposition Method
status: Final
code: Body disposition method
effective: 2024-06-30 16:39:40-0500
performer: Practitioner Ronald Q Smith(official)
value: Other
Entry 28 - fullUrl = http://example.org/Observation/ex-PlaceOfInjury-pandemicIPS-VRDR-stage-1
Resource Observation:
Profile: Place Of Injury
status: Final
code: Injury location
effective: 2024-06-30 16:39:40-0500
performer: Practitioner Jane Purple (official)
value: Home
Entry 29 - fullUrl = http://example.org/Parameters/ex-CodingStatusValues-pandemicIPS-VRDR-stage-1
Resource Parameters:
Profile: Coding Status Values
Parameters
shipmentNumber A2B2 receiptDate 2021-12-12 coderStatus 5 intentionalReject Reject1 acmeSystemReject Not Rejected transaxConversion Conversion using non-ambivalent table entries
IG © 2021+ IHE IT Infrastructure Technical Committee. Package ihe.iti.deid#0.0.1-current based on FHIR 4.0.1. Generated 2026-04-16
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